Background
This focus group study describes motivators and barriers to participation in the Mayo Mammography Health Study (MMHS), a large-scale longitudinal study examining the causal association of breast density with breast cancer, involving completion of a survey, providing access to a residual blood sample for genetic analyses, and sharing their results from a screening mammogram. These women would then be followed long-term for breast cancer incidence and mortality.
Methods
48 Women participated in six focus groups, four with MMHS non-respondents (N=27), and two with MMHS respondents (N=21). Major themes were summarized using content analysis. Social Cognitive Theory (SCT) was used as a framework for interpretation of the findings.
Results
Barriers to participation among MMHS non-respondents were: 1) lack of confidence in their ability to fill out the survey accurately (self-efficacy); 2) lack of perceived personal connection to the study or value of participation (expectancies); and 3) fear related to some questions about perceived cancer risk and worry/concern (emotional coping responses). Among MMHS respondents, personal experience with cancer was reported as a primary motivator for participation (expectancies).
Conclusions
Application of a theoretical model such as SCT to the development of a study recruitment plan could be used to improve rates of study participation and provide a reproducible and evolvable strategy.